Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $10,000.00	Facility		$831.76	$4,365.16	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $5,495.41 / $16,595.87	Facility	50	$3,019.95	$5,495.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $831.76	Professional		$138.04	$239.88	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $489.78 / $1,862.09	Professional	50	$208.93	$489.78	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $239.88	Professional		$77.62	$154.88	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $234.42 / $257.04	Professional	50	$218.78	$234.42	$257.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,709.64 / $57,543.99	Facility		$7,585.78	$8,709.64	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $870.96	Professional		$323.59	$562.34	$870.96
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $870.96 / $1,318.26	Professional	50	$478.63	$870.96	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $724.44	Professional		$162.18	$316.23	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $630.96	Professional		$446.68	$575.44	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $457.09 / $707.95	Professional		$169.82	$457.09	$707.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,079.46 / $13,803.84	Facility		$2,344.23	$7,079.46	$13,803.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $7,244.36 / $15,135.61	Facility	50	$2,344.23	$7,244.36	$15,135.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,265.80 / $9,549.93	Facility		$660.69	$4,265.80	$9,549.93
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $5,370.32 / $13,182.57	Facility	50	$2,570.40	$5,370.32	$13,182.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $977.24	Professional		$151.36	$363.08	$977.24
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $524.81 / $2,041.74	Professional	50	$218.78	$524.81	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,623.41 / $6,918.31	Facility		$977.24	$5,623.41	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,230.27	Professional		$660.69	$954.99	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $389.05 / $691.83	Facility		$87.10	$389.05	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $380.19 / $691.83	Professional		$112.20	$380.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,964.78	Facility		$1,348.96	$3,548.13	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $741.31	Professional		$154.88	$338.84	$741.31